HomeMy WebLinkAboutR 2014-164 DEAPR - Brian Braxton for golf instructions ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services, (5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Brian Braxton Party/Vendor Contact Person: Brian Braxton Contact Phone: 919.732.3435 Party/Vendor Address:
PO Box 759 City Hillsborough State:NC Zip:27278 Department: Environment, Ag,Parks and Rec Amount: 1820.00 Purpose: Golf
Instruction Budget Code(s): 101511020 630000 Vendor#59719 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No®
Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date April 14,2014 Approved by Board Yes❑No®
Agenda Date: Title of Contract: Golf Instruction
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 3 4
r I;
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Rec u�ired_❑. Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions:as sho cobtr t aTpr�
by the Risk Manager: L� LL�� ��JJ
' MAR 2 5 2014
i_4
Risk Manager's Signature: � - Date:
alzs
Financial Services By
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[� A budget amen men
before approval Yes❑ NoE. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budgq �n'd`Fis'caall Control Act: 41V Financial Services Director's Si nature: ct61�k � /J� Date: Z
Signature:
Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager La-(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been reviewed and a ved by the Attorney as to legal form and sufficiency:
Attorney's Signature IZ4 Date:
County Manager
This contract has been reviewed and is approv by e County Manager Yes o❑.
This contract has been reviewed and ' si u e y the h 'r Y ❑No
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the day of 20 . Submitted for Chair signature on the_day of ,20
Clerk's Signature: Date:
Revised March 2012